Individual
SAMANTHA ANN WINDOLOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Mailing address
8 SPRUCE DR, WILBRAHAM, MA 01095-1783
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4473
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2019
Last updated
06/10/2019
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